NPI | 1942917646 |
---|---|
Other Name | CAPITAL COMMUNITY CARE LLC |
Entity Type | Organization |
Authorized Contact | HASAN AL KHAFAJI Owner 207-272-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-11-01 |
Last Update Date | 2022-11-01 |